Peru Primary Care Professionals LLC
NPI 1568591048ActiveOrganization· Family Medicine· Peru, IL
Family Medicine in Peru, Illinois, registered in NPPES in March 2007. The authorized official on file is Mark A. Fernandez, M.D., Partner.
Overview
| NPI | 1568591048 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 2, 2007 |
| Last updated in NPPES | Nov 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036111100 | IL |
| Internal Medicine | 207R00000X | 036089936 | IL |
| Internal Medicine, Geriatric Medicine | 207RG0300X | 036089936 | IL |
| Pediatrics | 208000000X | 036089936 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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